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Coronary Anatomy and Segmental Classification for the Clinician

…aorta and pulmonary artery A slit like orifice A high origin Acute angle take off An intramural course, including its length Coronary Arterial Segments and…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…arterial connection and the relationship of the great arteries (segmental analysis). Ventricular function is evaluated using ejection fraction, fractional shortening, stroke volume, and myocardial thickness…

ST segment elevation in acute myocardial ischemia and differential diagnoses

…challenge (Figure 1 B). Such ST segment elevations are extremely common in all populations. They occur in young, old, healthy and diseased individuals. For example…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

ECG Myocardial ischemia and infarction Definition and Pathophysiology ST segment elevation myocardial infarction (STEMI) is an acute coronary syndrome characterized clinically by acute myocardial ischaemic…

ST segment depression in myocardial ischemia and differential diagnoses

…differential diagnoses, and their ECG appearance, to ischemic ECG changes. This figure must be studied carefully. Figure 3. Differential diagnoses in ST segment depressions. Differential…

Left Ventricular Segments for Echocardiography and Cardiac Imaging

…view (A2C) Horizontal long axis Apical four chamber view (A4C) Segments of the left ventricle Based on anatomical landmarks and autopsy studies (Edwards et al)…

STEMI: Fibrinolysis, Indications, Contraindications and Rescue PCI

…and produces more extensive fibrinogen depletion. Successful fibrinolysis is generally accompanied by relief of ischaemic symptoms, at least 50% resolution of ST segment elevation, and…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…Recurrent dynamic ECG changes suggestive of ischaemia, especially intermittent ST segment elevation Patients may initially stabilize and subsequently develop recurrent angina, recurrent ischaemic ECG changes…

ECG in myocardial ischemia: ischemic changes in the ST segment & T-wave

…the ST segment should be isoelectric, which means that it should be flat and on the same level as the baseline (recall that the baseline…

P-wave, PR interval, PR segment: physiology, criteria & ECG findings

…interval and PR segment The P wave ECG interpretation usually starts with assessment of the P wave. The P wave is a small, positive and…

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